脳卒中片麻痺患者に対するEMGフィードバック療法

概要

論文の詳細を見る
By recent advances in medical electronics, one can easily detect the biofeedback signals using simplified and pocketable machines. Particularly, in the field of rehabilitation medicine EMG feedback therapy has gained its popularity in treating hemiplegic patients caused by cerebrovascular accidents (CVA). Currently EMG feedback therapy is utilized in the following purposes, (1) Muscle reeducation......... to facilitate the paretic muscles. (2) Inhibition......... to suppress the hyperactive muscles. (3) Muscle strengthening......to increase the power of weak muscles. (4) Co-ordination......... to train the delicate movement. Kimura et al at Keio University Hospital reported that 52 out of 54 patients had shown functional improvement to various extent. At the present time our main interest is on treating the shoulder subluxation in the early phase of CVA before the irreversible peripheral nervelesion develops. In training the deeply lying muscles such as ext. dig. indicis, one has to implant the wire electrodes instead of the surface electrodes which in most cases applicable. Comparing to the conventional therapeutic maneuver there have been several controversial comments regarding the efficacy of EMG feedback therapy, one has to await further investigation.
日本バイオフィードバック学会の論文
1981-06-30